Mark S Hahn, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4159 Issued in AR

Practice address

104 West State St
Caraway, AR 72419

Phone

(870) 956-0200

Fax

(876) 895-2164

NPI assigned

Jul 18, 2006

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, MO, OK, GA, TN, NC, IN, TX8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 8

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LTC LLCGroup PAC ID 0547618175, 141 clinicians

Access Medical Clinic LLCGroup PAC ID 1951721802, shared by 11 NPIs, 30 clinicians

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, shared by 29 NPIs, 143 clinicians

Bradley Bibb MD PLLCGroup PAC ID 4789715285, shared by 13 NPIs, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Brunswick, GA, CCN 117144
• Mena Regional Health System Hospital, Mena, AR, CCN 041334
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Great River Medical Center Hospital, Blytheville, AR, CCN 040069
• Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
• Willowbend Health and Rehabilitation, LLC Nursing home, Marion, AR, CCN 045412
• Three Rivers Health and Rehabilitation Center Nursing home, Marked Tree, AR, CCN 045391
• St. Elizabeth's Place Nursing home, Jonesboro, AR, CCN 045380
• Gosnell Health and Rehab Nursing home, Gosnell, AR, CCN 045439
• Heritage Square Healthcare Center Nursing home, Blytheville, AR, CCN 045366

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations (25 of 50)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21087/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25499/brand/1/csg/1/fhir/r4
• Direct secure messaging: mark.hahn.1@21087.direct.athenahealth.com
• Direct secure messaging: mark.hahn.1@22155.direct.athenahealth.com
• Direct secure messaging: mark.hahn.1@22235.direct.athenahealth.com
• Direct secure messaging: mark.hahn.1@2424.direct.athenahealth.com
• Direct secure messaging: mark.hahn.1@25499.direct.athenahealth.com

All facility ownership & control disclosures 68

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 68

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Lamar, AR
  • NPI 1073004891

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Caraway, AR
  • NPI 1104321850

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Forrest City, AR
  • NPI 1104538388

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Garfield, AR
  • NPI 1144755570

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Cedarville, AR
  • NPI 1164913984

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Flippin, AR
  • NPI 1184163008

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Osceola, AR
  • NPI 1184401325

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1245017870

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Clarksville, AR
  • NPI 1265127591

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Booneville, AR
  • NPI 1285150672

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Dierks, AR
  • NPI 1295317295

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Viola, AR
  • NPI 1346869419

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Medical Clinic Arkansas LTC LLC

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1841154846
  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929

  Family Medicine

  Medicare reassignment NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436

  Family Medicine

  Medicare reassignment NPD
• Access Medical Clinic Georgia LLC

  dba Access Medical Clinic

  • Family Medicine Physician
  • Perry, GA
  • NPI 1730793639
  Medicare reassignment NPD
• Access Medical Clinic LLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Gatlinburg, TN
  • NPI 1023621646

  Family Medicine

  Medicare reassignment NPD
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1376232561

  Family Medicine

  Medicare reassignment NPD
• Access Medical Clinic LLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Crawfordsville, IN
  • NPI 1831810431

  Family Medicine

  Medicare reassignment NPD
• Access Medical Clinic North Carolina PLLC

  • Rural Health Clinic/Center
  • Laurel Hill, NC
  • NPI 1205596962

  Family Medicine

  Medicare reassignment NPD
• AMC Medical Clinic I LLC

  dba AMC Medical Clinic LLC

  • Rural Health Clinic/Center
  • Eufaula, OK
  • NPI 1295368587

  Family Medicine

  Medicare reassignment NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ponca City, OK
  • NPI 1194572040

  Family Medicine

  Medicare reassignment NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Huntington, IN
  • NPI 1699582627

  Family Medicine

  Medicare reassignment NPD
• Southeast Missouri Hospital Physicians, LLC

  dba Mercy Clinic Southeast

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1558311522
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital - Crittenden Inc

  • General Acute Care Hospital
  • West Memphis, AR
  • NPI 1437634524
  Care Compare affiliation
• CHC Gosnell Health and Rehab, LLC

  dba Gosnell Health and Rehab

  • Skilled Nursing Facility
  • Gosnell, AR
  • NPI 1386127488

  Nursing home

  Care Compare affiliation
• CHC Heritage Square Nursing Center, LLC

  dba Heritage Square Healthcare Center

  • Skilled Nursing Facility
  • Blytheville, AR
  • NPI 1205319340

  Nursing home

  Care Compare affiliation
• Jonesboro Care and Rehabilitation Center, LLC

  dba St. Elizabeth's Place

  • Skilled Nursing Facility
  • Jonesboro, AR
  • NPI 1578559803

  Nursing home

  Care Compare affiliation
• Mena Hospital Commission

  dba Mena Regional Health System

  • Critical Access Hospital
  • Mena, AR
  • NPI 1861449639
  Care Compare affiliation
• Mississippi County Hospital System

  dba Great River Medical Center

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748
  Care Compare affiliation
• St Bernards Hospital Inc

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation
• Three Rivers SNF Operations LLC

  dba Three Rivers Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Marked Tree, AR
  • NPI 1811625338

  Nursing home

  Care Compare affiliation
• Willowbend Health and Rehabilitation LLC

  dba Willowbend Health and Rehab

  • Skilled Nursing Facility
  • Marion, AR
  • NPI 1053049585

  Nursing home

  Care Compare affiliation
• Centerwell Health Services USA, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Brunswick, GA
  • NPI 1619959251
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1609895911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST STATE ST",
            "city": "CARAWAY",
            "state": "AR",
            "postal_code": "72419",
            "telephone_number": "870-956-0200",
            "fax_number": "876-895-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Highway 62 W",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "AR",
            "postal_code": "725768059",
            "country_code": "US",
            "telephone_number": "870-895-2015",
            "fax_number": "870-895-2164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Hope",
            "state": "AR",
            "postal_code": "71801",
            "country_code": "US",
            "telephone_number": "870-777-0007",
            "fax_number": "870-895-2164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 N MAIN ST",
            "address_purpose": "LOCATION",
            "city": "RISON",
            "state": "AR",
            "postal_code": "71665",
            "country_code": "US",
            "telephone_number": "888-264-5034",
            "fax_number": "870-895-2164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 E Main St",
            "address_purpose": "LOCATION",
            "city": "Flippin",
            "state": "AR",
            "postal_code": "726348668",
            "country_code": "US",
            "telephone_number": "870-453-2266",
            "fax_number": "870-895-2164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 W Fm 700 Ste B",
            "address_purpose": "LOCATION",
            "city": "Big Spring",
            "state": "TX",
            "postal_code": "797204120",
            "country_code": "US",
            "telephone_number": "432-264-1911",
            "fax_number": "833-989-2492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006015245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2006015245",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donasha Blair
• Leslie M Brown, APRN
• Caraway Drug L.L.C (Caraway Drug)
• Erin Elizabeth Clay, MCD, CCC-SLP
• Riley Carlton Wade Grogan
• Charity Angela Lane, APRN
• Shawna Larae Miller
• April Ann Nutt, APRN
• Robin Nicole Rea
• Connie Hill Stephens, PA

• Family Medicine Physician in Caraway, AR
• Providers in Caraway, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.